Abstract
Thirty-four pediatric patients, twenty with presumed and fourteen with biopsy or autopsy proven brainstem gliomas were imaged by CT and MR before radiation therapy. Twenty-eight patients received radiotherapy. Of these, eighteen fit the protocol for combined clinical and MR post-treatment evaluation. No cases of radionecrosis were seen at autopsy. This study shows that MR can demonstrate tumor response to radiation therapy, tumor progression prior to clinical deterioration, post-treatment cyst formation and hemorrhage. Although MR clinical correlation was not optimal on six week post-treatment evaluation, 4-10 month post-treatment MR scanning correlated well with clinical evaluation. MR appears useful in post-therapeutic monitoring of tumor response.
MeSH Terms
Adolescent
Brain Diseases/diagnosis,etiology
Brain Neoplasms/diagnosis,radiotherapy
Brain Stem
Cerebral Hemorrhage/diagnosis,etiology
Child
Child, Preschool
Cranial Irradiation/adverse effects
Cysts/diagnosis,etiology
Female
Follow-Up Studies
Glioma/diagnosis,radiotherapy
Humans
Magnetic Resonance Imaging
Male
Predictive Value of Tests
Authors & Affiliations
9 authors, click to expand affiliations / ORCID
Smith R R
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia.
Zimmerman R A
Packer R J
Hackney D B
Bilaniuk L T
Sutton L N
Goldberg H I
Grossman R I
Schut L
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